Representing Patient Industry and Occupation

Printer Friendly, PDF & Email
Type Standard / Implementation Specification Standards Process Maturity Implementation Maturity Adoption Level Federally required Cost Test Tool Availability
In Development
Feedback Requested
Limitations, Dependencies, and Preconditions for Consideration
Applicable Value Set(s) and Starter Set(s)
  • The CDC_Census 2010 system is used by the National Institute for Occupational Safety and Health (NIOSH) to classify industry and occupation entries in over 1 million records each year from health data collection systems such as health surveys, registries, and death records. They are based on the US Census' industry and occupation classification system, which is based on the North American Industry Classification System (NAICS) and Standard Occupational Classification (SOC) System. The CDC_Census system provides useful detail for the care provider and meets other federal requirements for statistical analysis.
  • NIOSH is developing updates to these value sets to include more detailed titles based on the Census Bureau Alphabetical Indexes for Industry and Occupation and will incorporate military service and occupation.  A tool for collecting patient industry and occupation titles in electronic health records is also under development.


extend limitations

Add the following text to the limitations:


- Use of CDC Census Coding System requires registration (and request approval by CDC).






See their website after registering Thank you for requesting a user account for the NIOSH Industry and Occupation Computerized Coding System (NIOCCS). You will receive notification once your request has been processed.


Page updated

Thank you for this comment. The limitations field has been updated as requested. 

correction to previous comment

Based on further investigation, I would like to replace my previous comment with a 2 corrected comments:

- Occupation and Industry coding terms can be downloaded from Public Health Information Network Vocabulary Access and Distribution System.

- National Institute for Occupational Safety and Health (NIOSH) provides a web based system called NIOSH Industry & Occupation Computerized Coding System (NIOCCS) (use of this web based system requires registration and request approval by CDC)

Consider IHE profiles for…

Consider IHE profiles for CDA templates for recording of Patient Industry and Occupation.

We concur with the listing…

We concur with the listing of the CDC codes here, but believe it is also worth mentioning the Observation / Observation value paradigm here as well. LOINC has several codes that are used as the observation identifier for patient industry/occupation variables. These LOINC codes are used in the American College of Surgeons National Trauma Data Standards dictionary. In addition, the CDC/NIOSH have balloted a OCCUPATIONAL DATA FOR HEALTH section inside the standard: HL7 CDA R2 IG: Consolidated CDA Templates for Clinical Note (US -Realm), Vol. 3: Additional Templates. In this model, the variables are identified by LOINC codes and the observation values are drawn from other coding systems such as the CDC’s census codes. Last, both PhenX and NHANES have questions about occupation and industry that are represented in LOINC.

Industry and Occupation require relationship linkage

Industry and Occupation require relationship linkage.  When speaking with a patient they can easily answer occupation but tying that accurately to an industry is difficult, a smaller list based on relationships would make documentation easier.  The same difficulty is experienced by the provider trying to document both against a specific coded pick list. 

Might be split into standard…

Might be split into standard for the observation which LOINC would serve and standard for the observation value which the CDC codes would serve. Agree that in the case that a specific field is dedicated to occupation history that the CDC Census 2010 is correct.